| NPI | 1346974730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27266) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 27266) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2023-06-27 |